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Conservative treatment of dentigerous cysts in children: A report of 4 cases

2001; Elsevier BV; Volume: 59; Issue: 3 Linguagem: Inglês

10.1053/joms.2001.21006

1531-5053

Dolores Martı́nez-Pérez, Margarita Varela-Morales,

Bone Tumor Diagnosis and Treatments

The standard treatment for a dentigerous cyst is enucleation and extraction of the involved tooth. In large cysts, an initial marsupialization to diminish the size of the osseous defect, followed by enucleation and tooth extraction, has been advocated. 1 Reynoso Obregón I Valoración clínica de casos de quistes tratados por canalización permanente. Acta Odontol Venez. 1967; 3: 350 Google Scholar , 2 Fickling BW Cysts of the jaw: A long term survey of types and treatment. Proc R Soc Med. 1965; 58: 847 PubMed Google Scholar , 3 Eyre MB Zakrewska MB The conservative management of large odontogenic keratocysts. Br J Oral Maxillofac Surg. 1985; 23: 195 Abstract Full Text PDF PubMed Scopus (48) Google Scholar , 4 Dammer R Niederdellmann H Dammer P et al. Conservative or radical treatment of keratocysts: A retrospective view. Br J Oral Maxillofac Surg. 1997; 35: 46 Abstract Full Text PDF PubMed Scopus (43) Google Scholar However, if the patient is a child and the cyst is small, as in the case of the enlarged follicles of impacted canines, surgical exposure of the tooth and orthodontic traction usually results in disappearance of the cyst and preservation of the tooth. 5 Becker A In defense of the guidance theory of palatal canine displacement. Angle Orthod. 1995; 65: 95 PubMed Google Scholar When dealing with larger lesions, enucleation and tooth extraction have been favored. This can lead to functional, cosmetic, and psychologic consequences for the child.